Sungarden Terrace

87465 Incidental Medical and Dental Care: “(a)(4) The licensee shall assist residents with self-administered medications as needed.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not assist 1 of 46 residents (R1) with self-administered medications as needed/prescribed, which posed a potential health risk to persons in care.

87469 Advanced Directives and Requests Regarding Resuscitative Measures: “(c)(3) Specifically for a terminally ill resident that is receiving hospice services…For emergencies not directly related to the expected course of the resident’s terminal illness, the facility staff shall immediately telephone emergency response (9-1-1).” This requirement was not met, as evidenced by: Based on records and interviews, when 1 of 45 residents (R1), who was receiving hospice services, experienced a medical emergency not directly related to the expected course of their terminal illness, Licensee did not immediately telephone emergency response (9-1-1) for them. This posed a potential health risk to persons in care.

87211 Reporting Requirements: “(a)(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified…(D) Any incident which threatens the welfare, safety or health of any resident…” This requirement was not met, as evidenced by: Based on records and interviews, 1 of 45 residents (R1) experienced an incident which threatened their welfare and/or health, and Licensee did not submit a written report to the licensing agency and the resident’s responsible person within seven days. This posed a potential personal rights risk to persons in care.

Based on records review and manager interview, for 5 of 5 residents (R1 through R5), Licensee did not within the last 12 months arrange a meeting with the resident and required individuals to review and revise the resident's written record of care. This posed a potential health risk to persons in care.

Based on records review and manager interview, Licensee's facility is licensed for more than 16 residents, but Licensee did not maintain documentation that a consultant pharmacist or nurse had reviewed the facility's medication management program and procedures at least twice per year. This posed a potential health risk to 49 of 49 residents (R1 through Resident #49) in care.

Based on records review and manager interview, Licensee did not have an emergency and disaster plan for hte facility that met regulatory requirements. This posed a potential safety risk to 49 of 49 residents (R1 through Resident #49) in care.

Based on records review and manager interview: For 4 of 5 sampled residents (R2 through R5), Licensee did not have in their record of care the name, address, and telephone number of a dentist to be called in an emergency. For 1 of 5 sampled residents (R2), Licensee did not have in their record of care the name, address, and telephone number of a physician to be called in an emergency.This posed a potential health risk to persons in care.

Based on records review, Licensee did not ensure that the pre-admission medical assessment for 1 of 5 sampled residents (R1) included the test results of an examination for communicable tuberculosis. This posted a potential health risk to persons in care.

Basic Services(f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement was not met as evidenced by: Based on record review and interviews, the licensee did not ensure that R1 was provided care and supervision, which posed an immediate health, safety, and personal rights risk to 1 (R1) of 41 residents in care.

Residents in all residential care facilities for the elderly shall have all of the following personal rights: The licensee shall provide for and encourage all personnel to report observations or evidence of such abuse, exploitation or prejudice. This requirement was not met, as evidenced by interviews and records review for 1 of 44 residents.This poses an immediate health risk to residents in care.

To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met, as evidenced by: Interviews and records review for 1 of 44 residentsThis poses an immediate health risk to residents in care.